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DHS

The Department of Human Services (DHS) has shared several available resources to address providers’ concerns regarding the Change Healthcare outage. The system remains unavailable due to a current cyber-attack. You can read the full press release, which details resources and short-term solutions.

If you have any questions, please contact Fady Sahhar.

Photo by Kane Reinholdtsen on Unsplash

The Early Bird registration deadline for Pennsylvania’s 21st Children’s Interagency Conference has been extended to March 15, 2024. From April 22 – April 25, 2024, the event will be held at the Penn Stater Hotel in State College, PA, focusing on the theme “Shining The Light on Mental Health: Building Youth Wellness & Resilience.” Keynote speakers Dani Bowman, Anthony Cammilleri, and Victor Armstrong will address attendees on April 22, 2024. The conference is organized by the PA Department of Human Services, Office of Mental Health and Substance Abuse Services, Bureau of Children’s Behavioral Health Services, and the PA Care Partnership. Registration is now open at the 21st Children’s Interagency Conference Registration web page. For more information about the conference, visit the conference website. For assistance, contact conference planner Katrina Harris.

If you have any further questions, please contact Jim Sharp, RCPA Mental Health Policy Director.

House Resolution 212 (2021), which was adopted June 29, 2022, created a legislative task force on services provided to individuals with intellectual disability, developmental disability, and autism. It directed the Joint State Government Commission to conduct a study on the impact of the Commonwealth’s current needs and system capacity for providing opportunities for individuals with intellectual disability, developmental disability, and autism.

The Commission was further directed to establish an advisory committee to assist in its study. The advisory committee included representatives from the Commonwealth agencies, who were charged with the responsibility of overseeing these services, namely the Department of Human Services (DHS) Office of Developmental Programs (ODP) and the Department of Labor and Industry (DLI) Office of Vocational Rehabilitation (OVR). Other representatives included individuals and family members of individuals who are receiving home and community-based services or who are on waiting lists for services. Service providers, advocates, self-advocates, a physician, and a representative of the Pennsylvania Association of County Administrators of Mental Health and Developmental Services, as well as other interested persons, were also on the advisory committee. Richard Edley, President and CEO of RCPA, and several RCPA members served on this committee.

The committee has completed their work, resulting in their finalized report and one-page summary.

Multidrug Resistant Organisms in Medically Complex Adults Living at Home, Non-Institutional, Shared Living
Wednesday, March 27, 2024
1:00 pm – 2:30 pm
Register for this event!

This webinar is for all interested stakeholders. Presentation topics from Dr. Rabea Khadimi and Dr. Antonie Auguste will include multidrug resistant organisms in medically complex adults living at home, non-institutional settings, and shared living.

Presenters:

Rabea Khedimi, MD
Rabea Khedimi, MD, is a faculty member and ID Specialty Physician with UPMC/ID Connect. Rabea served as the Chief of the Infection Prevention and Control at the NYC Health + Hospitals/Elmhurst and as an Assistant Professor of Medicine at the Icahn School of Medicine at Mount Sinai. She has been involved in the management of patients with suspected infectious diseases since she joined the Mount Sinai School of Medicine. Dr. Khedimi completed her internal medicine training at the Icahn School of Medicine at Mount Sinai/Elmhurst and her Infectious Diseases Fellowship training at Mount Sinai School of Medicine. Her career as a Clinician-Educator and Clinician-Administrator includes leadership roles at the Mount Sinai School of Medicine/Elmhurst Hospital in Queens and Montefiore/Albert Einstein College of Medicine in the Bronx. She was an Assistant Professor of Medicine and an Infectious Disease Attending at Montefiore Medical Center. She also served as a Co-Director of Microbiology/Infectious Diseases courses at Albert Einstein College of Medicine. Dr. Khedimi has experience in both teaching and providing clinical care to patient with HIV, Hepatitis B and C, STDs, and other infectious diseases. She also has expertise in infection control and was most recently the Chief of the Infection Prevention and Control Department at the NYC HHC/Elmhurst Hospital.

Antonie J. Auguste, MD, MPH
Dr Antonie J. Auguste has been recognized as an IDSA Fellow (FIDSA). Dr. Auguste serves the ID division at UPMC/ID Connect. Her primary role focuses on providing inpatient on infectious diseases consultation services via the Infectious Diseases Telemedicine service to multiple additional sites across telemedicine sites and rounding on the in-person services at UPMC Presbyterian Hospital. Additionally, she provides telemedicine infection prevention and control consultation to various telemedicine sites. Antonie earned her medical degree from the State University of New York Upstate Medical University at Syracuse, and she completed her residency in Internal Medicine and her Fellowship in Infectious Disease at the State University of New York at Stony Brook University Hospital and School of Medicine. She obtained her MPH degree from Columbia University School of Public Health and has a BA degree in biology from Columbia University.

Kate Gass, RN, BSN, CIC
With a varied background in clinical nursing and nursing management, Kate has spent time working in intensive care, emergency departments, and the cardiac cath lab. Earning her ASN from Butler County College and BSN from Clarion University of Pennsylvania, she is certified as a cardiac invasive specialist and is also certified by the Board of Infection Control and Epidemiology.

The Pennsylvania Department of Human Services (DHS) today released recommendations from its Blueprint Workgroup, an interdisciplinary group comprised of representation from state and local governments, health care, education, service providers, managed care, and family advocates. The workgroup sought to evaluate challenges children and youth with complex, co-occurring physical and behavioral health care needs, and their families experience like accessing care and services that adapt to a youth’s changing circumstances and needs, lessening the likelihood of child welfare system involvement, reducing trauma experienced by instability, prioritizing emotional wellbeing, and supporting family- and youth-driven care and choice.

“The detailed recommendations outlined by the Blueprint Workgroup set a course that now allows DHS and partners at the local level and systems of care to begin the work necessary to see how we make change happen so children with complex needs get the care that improves their quality of life, and the family is supported as they navigate these systems,” said Dr. Val Arkoosh, Secretary of DHS. “Systems of care should uplift those we seek to help, not create confusion and consequences from lack of coordination. The Blueprint Workgroup recommendation align our focus around the children and families we must always prioritize, and I am grateful for the work to this point and moving forward that will build a better future for children and families in Pennsylvania.”

Read the full press release, including details on the Blueprint Workgroup’s priorities, here.

RCPA will continue its work on the complex care needs through our Residential Services Steering Committee and ongoing efforts for the implementation. If you have any questions, please contact RCPA Policy Director Jim Sharp.

Last week, Governor Shapiro presented his proposed budget for 2024/2025. The PowerPoint with the Human Services Spending Overview outlines the priorities, and the recording is available on the DHS YouTube channel.

RCPA staff will continue to advocate for appropriate levels of funding for our members’ services in the community. We will keep you updated with information as the process continues. If you have any questions, please contact your RCPA Policy Director.

Today, Secretary Arkoosh presented an overview of the proposed Department of Human Services (DHS) budget in the Governor’s proposed budget he unveiled earlier this week. Governor Shapiro is prioritizing investments in IDD home and community-based service providers so that they can pay competitive rates to attract and retain staff who provide these life-changing services to Pennsylvanians.

Secretary Arkoosh stated, “It’s time to make a change,” and people need “the right service at the right time.” PA is about to embark on a multi-year wait list plan.

In September, Governor Shapiro directed DHS’s Office of Developmental Programs to begin an immediate evaluation and assessment of the rates paid to intellectual disability and autism programs that employ direct support professionals. Building on that, the governor is proposing an increase in reimbursement rates by 12%, which will invest a total of over $480 million, divided by state ($217 million) and federal ($266 million) funding for programs that support ID/A. It is proposed that the rate increase will become effective July 2024. Additionally, one-time supplemental payments to support staffing recruitment and retention were announced. These funds are anticipated to be distributed to providers in May or June 2024 and will total $109 million.

ODP will be working closely with counties to shift to management by budget rather than slots, and effective immediately, the department is adding 1,250 in Community Living and 250 in Consolidated people to the waiver capacity ($78 million in funding).

This budget also invests $934,000 to add American Sign Language and English interpreter services to program serving this population as a distinct service.

While this is very positive news for the ID/A community, this is the proposed budget. We all need to continue to advocate with legislators to support this proposal and give the ID/A services the support they need. Please share your stories with your local legislator and participate in our upcoming capitol day on March 19, 2024. You can register to participate in the event here. Also, we ask that you take the time to thank Governor Shapiro for hearing our voices and addressing our critical needs.

The Department of Human Services (DHS) just announced that, due to reaching capacity in the February 9 meeting, they are adding a second session at 1:30 pm on the same day. If you are already registered for the morning session, do not register for the afternoon session so that they can keep enough space for all who are interested. Both sessions will be recorded and posted publicly to YouTube, and content will be roughly similar within the two sessions. DHS will share Question and Answer (Q&A) sessions from both, and a follow-up Q&A document will be shared next week.

Visit here to register for the afternoon session.

(If the registration link above does not work, please try copying this link directly into your browser: https://events.gcc.teams.microsoft.com/event/9f3d9e64-6d38-45a7-84eb-b0ae2b1aafd9@418e2841-0128-4dd5-9b6c-47fc5a9a1bde)

Photo by Markus Winkler on Unsplash

Message from Kevin Dressler, Bureau Director, DHS, Office of Developmental Programs:

Infection Control and Vaccination Status Survey
The Office of Developmental Programs (ODP) has put together a short survey (23 questions) to gain an idea of the vaccination status of the people living in ICFs for COVID, Flu, and RSV, as well as to identify difficulties you may have or are currently experiencing with obtaining the vaccines. There is also a section within the survey discussing infection control and prevention. Please take the time to fill out the survey, as ODP will use the information to continue to look for ways to improve access and availability of vaccines and other health-related resources.

Several responded that the survey was not accessible. Participant restrictions have been removed this morning, so you should now be able to complete the survey here.

ICF Task Force Meeting
The next ICF Task Force meeting will be conducted in-person on April 18, from 10:00 am – 3:00 pm. We are planning to hold the meeting at the PaTTAN (Pennsylvania Training and Technical Assistance Network) building in Harrisburg. We plan to share ICF citation data from January 1, 2017 – December 31, 2023, as well as two trainings. The trainings will be “Plan of Correction Writing and Follow-up,” and training on “Active Treatment.” We will also have the DOH Long Term Care – RISE group provide a presentation on the services and supports they have to offer to ICFs. Lastly, we will have our typical updates from our finance staff, DOH, and ODP Medical Director. Please plan on attending. Updates will be provided as we get closer to the date of the meeting.

ICF Taskforce Meeting: Location
The ICF Taskforce Meeting on Thursday, April 18, 2024, will be held at the following address:

PaTTAN – Central
6340 Flank Drive
Harrisburg, PA 17112

Directions and nearby hotel accommodations can be found here.

The Pennsylvania Department of Human Services (DHS) is hosting a post-award forum regarding the federal Section 1115 Demonstration, which includes Medicaid coverage for out-of-state former foster care youth and substance use disorder (SUD) services. It will take place at 1:00 pm – 2:30 pm on Friday, March 8, 2024, via WebEx. The forum aims to gather public feedback on the progress of these initiatives, both of which were approved by the Centers for Medicare & Medicaid Services (CMS). The Former Foster Care Youth (FFCY) component allows Medicaid coverage for individuals under 26 who were in foster care in another state upon turning 18. The SUD component provides funding for essential SUD services, including residential care.

Register for the forum here. Written comments are also acceptable until the same date. For inquiries, contact Shivani Patel. Further details and the announcement can be found here. Please contact RCPA Policy Director Jim Sharp for any further questions.